Shelvy Richardson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8800 Burleigh Manor Dr Apt 104
Raleigh, NC 27616-7930

Phone

(757) 390-5733

NPI assigned

Feb 22, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1558069138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 BURLEIGH MANOR DR APT 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167930",
            "telephone_number": "757-390-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 BURLEIGH MANOR DR APT 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276167930",
            "telephone_number": "757-390-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SHELVY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P019510",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Chadwick Richardson, LPC
• Kathryn Snider Richardson, MSN, FNP-C
• Melanie Katrin Richardson, FNP-BC
• Rashiidah Richardson, LCSW
• Sarah Richardson
• Pamela Jane Richart, M.C.D. CCC-SLP
• Leanne Richbourg, RN
• Kelly Cutshall Richert, PA-C
• Richey Fas LLC
• Eternia Sade Richmond

• Case Manager/Care Coordinator in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Case Manager/Care Coordinator in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.